Implementation of Gender Inclusive Child Health Services in Mataram City: Challenges and Strategies
Keywords:
Child Health services, Gender Inclusive Care, Health PolicyAbstract
The provision of child health services is a key indicator of public health quality; however, access and utilization are often influenced by gender-related factors. This study examines the implementation of gender-inclusive child health services in Mataram City, focusing on policy and programmatic strategies. A qualitative descriptive approach with a case study method was employed. Data were collected through in-depth interviews with healthcare providers, parents, and policymakers, as well as direct observations in health facilities and a review of relevant policy documents and program reports. Data were analyzed using the SWOT framework (Strengths, Weaknesses, Opportunities, Threats). Findings indicate that although gender-sensitive policies and service guidelines exist, practical implementation remains uneven. Strengths include dedicated healthcare staff, ongoing community health programs, and strong local government support. Weaknesses involve limited gender-sensitive training for healthcare providers, cultural norms affecting service utilization, and disparities in access between boys and girls. Opportunities exist through enhanced public awareness campaigns, collaborative partnerships, and policy reinforcement, whereas threats arise from persistent social norms, resource constraints, and variability in service quality across facilities. The study concludes that improving gender-inclusive child health services in Mataram City requires enhanced provider training, consistent monitoring, community engagement, and integrated policy strategies to ensure equitable access and quality care for all children.
References
Boniol, M., McIsaac, M., Xu, L., Wuliji, T., Diallo, K., & Campbell, J. (2019). Gender equity in the health workforce: analysis of 104 countries (Vol. 8). World Health Organization Geneva.
Carandang, R. R., Sakamoto, J. L., Kunieda, M. K., Shibanuma, A., Yarotskaya, E., Basargina, M., & Jimba, M. (2021). Roles of the maternal and child health handbook and other home-based records on newborn and child health: a systematic review. International Journal of Environmental Research and Public Health, 18(14), 7463.
Da Silva, T. H. R. (2024). Gender Equity In Healthcare: Integrating Emotional Intelligence To Achieve The United Nations Sustainable Development Goals. Journal of Community Medicine and Public Health Reports, 5(12).
Haq, I., Hossain, M. I., Parvin, M. M., Saleheen, A. A. S., Habib, M. J., & Chowdhury, I.-A.-Q. (2022). Gender differences in child nutrition status of Bangladesh: a multinomial modeling approach. Journal of Humanities and Applied Social Sciences, 4(5), 379–392.
Kuo, D. Z., Rodgers, R. C., Beers, N. S., McLellan, S. E., & Nguyen, T. K. (2022). Access to services for children and youth with special health care needs and their families: concepts and considerations for an integrated systems redesign. Pediatrics, 149(Supplement 7), e2021056150H
Langarita, J. A., Santos, A. C., Montenegro, M., & Urek, M. (2023). Child-friendly perspectives on gender and sexual diversity: Beyond adultcentrism. Taylor & Francis.
Lindsay, S., & Kolne, K. (2020). The training needs for gender-sensitive care in a pediatric rehabilitation hospital: a qualitative study. BMC Medical Education, 20(1), 468.
Morgan, R., Kalbarczyk, A., Decker, M., Elnakib, S., Igusa, T., Luo, A., Oladimeji, A. T., Nakatabira, M., Peters, D. H., & Prihartono, I. (2024). Gender-responsive monitoring and evaluation for health systems. Health Policy and Planning, 39(9), 1000–1005.
Perrin, J. M., Cheng, T. L., & National Academies of Sciences and Medicine, E. (2024). Child Health and Health Care: Uniqueness, Societal Importance, and Vision for the Future. In Launching Lifelong Health by Improving Health Care for Children, Youth, and Families. National Academies Press (US).
Pokhrel, S., Snow, R., Dong, H., Hidayat, B., Flessa, S., & Sauerborn, R. (2005). Gender role and child health care utilization in Nepal. Health Policy, 74(1), 100–109.
Semahegn, A., Mehretie Adinew, Y., Tiruneh, G. T., Argaw, M. D., Bekele, B., Tesfaye, M., Fesseha, N., Tiku, S. H., Gebrehiwet, A., & Girma, A. (2025). Gender disparities and barriers to access and use of essential health services in Ethiopia: Designing primary health care through gender lens. PLOS Global Public Health, 5(6), e0004813.
Widiastuti, T., Al-shami, S. A., Mawardi, I., Zulaikha, S., Haron, R., Kasri, R. A., Al Mustofa, M. U., & Dewi, E. P. (2024). Capturing the barriers and strategic solutions for women empowerment: Delphy analytical network process. Journal of Open Innovation: Technology, Market, and Complexity, 10(3), 100345.
Zahra, F., Kidman, R., & Kohler, H. (2021). Social norms, agency, and marriage aspirations in Malawi. Journal of Marriage and Family, 83(5), 1332–1348.













